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Does blocking IRE1/JNK calm ferroptosis in AKI?

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In I/R mice and H/R HK-2 cells, IRE1/JNK activation tracked with ferroptosis; inhibiting the pathway improved BUN/creatinine and ferroptosis markers.

Source

Inhibition of the IRE1/JNK pathway in renal tubular epithelial cells attenuates ferroptosis in acute kidney injury

Liang Y, Liu Z, Qu L, et al. · Frontiers in pharmacology · 2022

doi.org/10.3389/fphar.2022.927641Read the full paper ↗43 citationscc by

What they did

Modeled AKI with renal ischemia-reperfusion in 144 mice and hypoxia/reoxygenation in HK-2 cells, then inhibited IRE1/JNK or ferroptosis (e.g., Fer-1) to test cross-talk.

What they found

I/R caused abnormal renal function, tubular injury, IRE1/JNK activation, and ferroptosis; H/R cells showed ROS and ferroptotic mitochondria. IRE1/JNK inhibition lowered BUN/creatinine/injury and shifted ferroptosis markers; ferroptosis inhibition also attenuated IRE1/JNK.

The limits

What it doesn't show

Mouse/cell protection is not yet a clinical AKI therapy; timing, off-target effects, and human translation remain open.

Key terms

Ferroptosis
Iron-dependent regulated cell death featuring lipid peroxidation and mitochondrial shrinkage.
IRE1
ER-stress sensor that can activate JNK signalling.
JNK
c-Jun NH2-terminal kinase pathway linked here to ferroptosis in AKI.
I/R injury
Ischemia-reperfusion damage used to model acute kidney injury in mice.
HK-2 cells
Human proximal tubular epithelial cell line used for H/R experiments.
Ferrostatin-1
Ferroptosis inhibitor (0.8 mg/kg in mice) used as a pharmacologic probe.

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Mouse N reported:

Common questions

Mouse N?

144 male C57BL/6J mice.

Main protective claim?

IRE1/JNK inhibition protects I/R kidneys by inhibiting ferroptosis.

In vitro injury model?

Hypoxia/reoxygenation in HK-2 cells.

Fer-1 dose cited?

0.8 mg/kg.